Glass, Jeffrey

Glass, Jeffrey is an sole proprietor health care provider with primary practice located at 12810 Hillcrest Rd Suite B220, Dallas TX 75230-1525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Glass, Jeffrey can be contacted via phone (214) 696-9270.

Contact Information

Primary practice address
12810 Hillcrest Rd Suite B220 Dallas TX 75230-1525
Phone: (214) 696-9270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G4298 Texas
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X G4298 Texas

Profile Details

NPI number 1144300674
LBN Legal business name Glass, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144300674 NPPES
Texas MEDICAID 1002735-01

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